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Home My WebLink About34083_DEMARIA, MIKE_200306081431� �' U CAMA / ❑ DREDGE & FILL �1I GENERAL PERMIT Previous permit # El New ['-'-"Modification l ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC Applicant Name —_ Address 20i to City i1)� ►^'�o1 State Phone#q75 Fax #( ) Authorized Agent 114u1144, Affected ❑ CW ❑ EW X PTA ❑ ES AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ PWS: ❑FC: ZIP 1?57 u ❑ PTS ❑ N/A ORW: yes / no PNA yes / no Crit. Hab. yes / no ❑ Rules attached. Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City /NC(/V!'!t t ZIP �'G 7". Phone # ( ) River Basin /' t :ei Adj. Wtr. Body c i a, 1 c v A-•cl (nat /man /unkn) Closest Maj. Wtr. Body 0 -Ic/ ' ■ ■■ ■■■■■ ■■�■■/IR+■!�y�■1 ■■■■YIIIIii■l�1M111>f/L'iii�i'i�f■IY�1i�Y■■��t.'��■ ■�■lil■■li�lbillll■■!�i'111i ■R ■■■�i�1� TIJCZE�S ! 11111101111MEA1■IiWf� roomt,�'�N■r��iwffl � 1312 � U■ L ■ ■0 ■■■■■■■■■■■ ■l��■■■■■■■�■■■■■ ■■■■MM■■L-.1 ■�■ii■ I■■■E�l�1■■■■■■■■■■ ■ Ilia■■■■■■■ONE -� �1�1■■�■■■■■ ■N■■■■■■ ■■■■■■■■■Y■■■■■■■■■■■■ ■■■■■■■■■ ■■■■■ ■■■■■■■■®■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■!'J■■■REN ■!!■! 1111101111111 ■■■■■■■■■r�■■■■■■�■■ I�'EMMl�■■■■■■■ ■N■■■■■■®■■■■®■r�■■■�i■■■■ ■ ■■■■■■■■■17■■■■■■■■■■■■■ ■■■M111 mm�EMME ■■■■■■ MEH■■■�■■■111110111101111FIE ■■ mmmplgmm Agent or Applicant Printed Name Signature "Please read compliance statement on back of permit �I�L•(�Q rr:y_i �fZ$ Application Fee(s) Check # Permit Officer's Signature Issuing Date Expiration Date ,Jr. t- 7 c'7 Local Planning Jurisdiction Rover File Name j ti Statement of Compliance and Consistency This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void. This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The applicant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian landowner(s) . The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available information and belief, certifythatthis project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: ❑ Tar - Pamlico River Basin Buffer Rules ❑ Other: ❑ Neuse River Basin Buffer Rules If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of Water Quality. Contact the Division of Water Quality at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-395-3900) for more information on howto complywith thesebuffer rules. Division of Coastal Management Offices Central Office Mailing Address: 1638 Mail Service Center Raleigh, NC 27699-1638 Location: Parker -Lincoln Building 2728 Capital Blvd. Raleigh, NC 27604 919-733-2293 / 1-888ARCOAST Fax:919-733-1495 Elizabeth City District 1367 U.S. 17 South Elizabeth City, NC 27909 252-264-3901 Fax:252-264-3723 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) Morehead City District 151-B Hwy. 24 Hestron Plaza II Morehead City, NC 28557 202-808-2808 Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow -above New River Inlet- and Pamlico Counties) Washington District 943 Washington Square Mall Washington, NC 27889 252-946-6481 Fax: 252-948-0478 (Serves: Beaufort, Bertie, Hertford, Hyde, Tyrrell and Washington Counties) Wilmington District 127 Cardinal Drive Ext. Wilmington, NC 28405-3845 910-395-3900 Fax:910-350-2004 (Serves: Brunswick, New Hanover, Onslow -below New River Inlet- and Pender Counties) www.nccoastalmanagement.net Revised 10/05/01 SLAUGHTER & SONS P.O. BOX 727 PH. 252-241-3676 ATLANTIC BEACH, NC 28512 PH.252-726-2665 Povfnflip BWAND, BRANCH BANKINT COMPANY MOREHEAD CITY, NORTH CAROLINA For 1:05310112111:5112687892112 OClae4e Amrnaan 7128 ss-I142302 t 0302 Date a0 .,..r : ~ Dollars a �� e DUARDIANASAFET' BLUE WBL ADJACENT RIPARIAN PROPERTY OWNER STA TEACMT (FOR A PIER1UNCOVERED BOAT LIF1) I hereby certify that I owes property adjacent to a-;i_-,��,� y� a/z -g ,s (Name of Property Owner) property located at L ,`,y ui. Block, Road, ems.) 11 on I iWa`terbody) , m , '� 7— N.C. (Town and/or County) He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/uncovered boat lift mast be set back a minimum distance of fifteen feet (I5') from my area of riparian access unless waived by me. I do nar wish to waive the setback requirement. I do wish to waive that setback requirement_ DESCREMON ANDIOR DRAWING OF PROPOSED DEVELOPMENT: (To be felled is by indtvdual wvposing development) Ptc�� c rtnt or Type Dame q- -77V- zMeIC Tetephoiw- Number Date: Jon-04-03 03:54P popes greystone 919 518 2243 P.01 "egna5uay, rune ir+, 'CUUj a to r'M NtVV tW-MN MALUR JULUKI 15L tiJ/ r lCi p.02 A�IJACF.N'!` A1PA8I/t�T MKOW TY O%VNM STATT (MR A PIBR/UNCOYRR,ltD QO+Ir urn I. "� s vr�/ ply loca"d at� /T -A M--V 10—A w t I&Ovlbf wLrapLt wvwsl "%owl w..� , w, Ne" %)PO&7 t � r • � wVri::.�w I�r.w_� .+rLrA)J NQ 4ti dwdbw to mcQ U *Awn wow. ft dewdop am be is pvpolint at [fist t�dw� ..�J ♦ 6 ♦� w w�i�www..• �.. L�� f f - b A �—• .rL /yLd/NM�MfLiy fN/ WjWft4AW LI IY LYE . a V"Sum4mmum 4fN i� j/.Tc-.U�Z4 MAW JML l�lYiL w iM Mwrw ii.�rH l+1�Mi �. ii� •LL,MV� arM [mod •LtiNLb IM� OUM Y{ II)MW wsi+� yr ins. / / a 90" Mtsh w wave ft S"Ibl tc tewftmm v x & Wilt a VA&* SM 0260* r.quiMMOUL DUCRV7I M AMWOA D``"WWG OF ftOPDM PVVEWRMT.- `Y/ w W� wyvda rr"mw aflewp""WOW r 401 v r 4 ' �r J+ Plot or Type Naate l ltkVmr Number Date: 6 - ".. 0-t> ADJACENT RiPPARLAN PROPERTY OWNER STATEMENT (FOR A PIERJUVCOVERED BOAT LIFT) I hereby certify that I own property adjacent to ; G A 2 e— l 4- iu bo W (Name of Property Owner) property located at R q l 1L-F o"'Fl< 12' N&i✓?p/z-7_ /vc (Lot, Block, Road, etc.) on � C , I-, , in �1 ��/�c )/i,T a N.C. (Waterbody) (Town and/or County) He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pierfuncovered boat lift must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless waived by me. I do not wish to waive the setback requirement. I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by i x ti ;v Signature Print or Type Name 2 �-2- 3 `13 --?� -b-5 Telephone Number Date: �- '2 y 6�, ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIUNCOVERED BOAT LIFT) I hereby certify that I own property adjacent to :0? i r �� 1/1 r' 14 `s (Name of Property Owner) property located at 9 l J. i r i- (')AK 2'4 (Lot, Block, Road, etc.) ' on L3PL'cc- �c�yf,c , in A�Fw�cRf,4,C , N.C, (Waterbody) (Town and/or County) He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/uncovered boat Tuft must be set back a minimum distance of fifteen feet (I5') from my area of riparian access unless waived by me. I do not wish to waive the setback requirement I ado wish to waive that setback requirement. DESCREMON AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) Be! e c a- _sue �✓�/ / 8 `- Print or Type Name 9M-3 �;32 Telephone Number Date: